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January 1987

HCFA Cutbacks Are Unfair

Arch Ophthalmol. 1987;105(1):21-22. doi:10.1001/archopht.1987.01060010023006

To the Editor.  —I read with interest the article in the October issue of the Archives concerning the Health Care Financing Administration's (HCFA's) plan to slash fees for cataract surgery.1 I agree with Mr Stacey's position that the proposed cutbacks in reimbursement are unfair and illogical.Since I am an optometrist by training, I have no hidden interest in surgeons' fees. To date, I have not participated in surgery in any way other than refractive postoperative care. I believe, though, that the current cataract removal procedures with posterior chamber implants and yttrium aluminum garnet technologies are truly wonderful.Having practiced since the late 1960s, I am aware of the tremendous advances in patient care. In my 17 years of practice, I have never witnessed an unnecessary cataract removal. It is possible that this is because we have an abundance of good ophthalmic surgeons in the Las Vegas area.Considering